Ibrahim Khalil, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A77675 Issued in CA

Practice address

1150 N Indian Canyon Dr
Desert Regional Medical Center/ Surgery/Anesthesia
Palm Springs, CA 92262-4872

Phone

(760) 323-6618

Fax

(760) 323-6617

NPI assigned

Nov 8, 2006

Last updated

Apr 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012
  Medicare reassignment Care Compare group NPD
• Anesthesiologists of Greater Orlando Inc

  • Anesthesiology Physician
  • Orange City, FL
  • NPI 1457300998
  Medicare reassignment NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895
  Medicare reassignment NPD
• Florida Anesthesia & Pain Management Associates, LLC

  • Pain Clinic/Center
  • Clermont, FL
  • NPI 1487792792
  Medicare reassignment NPD
• Lorven Anesthesia,LLC

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1790194306
  Medicare reassignment NPD
• Orange City Anesthesia Services LLC

  • Anesthesiology Physician
  • Orange City, FL
  • NPI 1972882314
  Medicare reassignment NPD
• Sarasota Anesthesia Services LLC

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1689857393
  Medicare reassignment NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711
  Medicare reassignment NPD
• Anesthesiologists of Greater Orlando Inc

  • Anesthesiology Physician
  • Lake Mary, FL
  • NPI 1992524706
  NPD
• Innovative Medical Staffing Solutions Inc

  dba iMEDSolutions

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1629308713

  Anesthesiology

  NPD
• Sarasota Ambulatory Surgery Center LTD

  dba Sarasota Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Sarasota, FL
  • NPI 1740230523
  NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1720650088
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1528138559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 G ST",
            "address_2": "DESERT REGIONAL MEDICAL CENTER/ ANESTHESIA",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012813",
            "telephone_number": "760-323-6618",
            "fax_number": "760-323-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR",
            "address_2": "DESERT REGIONAL MEDICAL CENTER/ SURGERY/ANESTHESIA",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "760-323-6618",
            "fax_number": "760-323-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "IBRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A77675",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME84884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264470300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17018",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shubha J Kerkar, MD
• Donald Michael Kern, MD
• Santa Kerzuma, D.O.
• Christina Priscilla Kesterson-Hazouk
• Yasmine Christine Khader, PHARMD
• Shahrukh Khan, DO
• Sina Khanbabakhani, DDS
• Prerna Mona Khanna, MD
• Babak Khazaeni, M.D
• Olga Khodakivska

• Anesthesiology Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.